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�.,:. , <br /> � �: , . <br /> � .. � y, <br /> � . <br /> *WOOD BDRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s) freestanding Masonry - <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************* <br /> VENTILATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. _� Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************* <br /> FOEL STORAGE (must be approved by fire marshal) <br /> ' $30 . 00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside <br /> LP Gas, gallons <br /> Other Gas opening <br /> �' ******************************************************************************* <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************* <br /> P$RMIT FEE CAIrCQLATION <br /> 1 . Total of above Installations or Minimum Fee ($30.00) $ <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> `'' 3 . Postage and Handling on all mailed-in applications, $ 1.50 <br /> q� <br /> - 4. TOTAL PERMIT FEE add lines 1-3 above $ <br />� The undersigned hereby applies to the City of issuance of a Mechanical Permit <br /> agrees to do all work in strict accordance with the ordinances of the City an� <br /> the regulations of the Minnesota State Building Code, and certifies that al : <br /> statements made on this app lication are complete, true and correct. <br />�� �� �� <br /> Applicant' s Signature: Date: J�' � s 1 <br /> ; <br /> ., ,, <br /> F-' � � �. I . . ., . � . i � �., � � . � - . . . . .� . <br /> ..� 1 ; � . � . . � � . .. � - ' � �' . <br /> . . � � } . . � . � � � . .. �. �. . . �. . � : . . <br /> .. . i. �. . . . - , . . � . .. . . . � .. . . .. <br /> . . I �- .. - � � � . . � . � .� , .. . .. � �. . <br /> . ! � . . S . . - . . . . � . - .. <br /> `. � ... . . .. _ . . � . . . � � � � � .. . <br /> � � �. � �� .. . '� � . . . . . . . . . . . . . _ . <br /> I . . . .�� � . . .. . . . . . . <br /> �:` .. .. � . . - . . <br /> . � . . . . . . . . . <br /> � . � � .. . . . � . . � . � . . . . . .. .. � <br /> r � ,�. <br /> - } � " . � � � � . � - � ..�. . . . . . ,a. <br /> u � <br /> .� � <br /> , . . <br /> , <br /> . . ��.._., ..�. <br />..__ � ._ .,s1�..�.. _�z.:.....�,:.,...,,. ...�..: .0 .:. :.,: . - ._. .':, . .:_ . . .-.:. � _._. ....:�. ..� � ._ _ ._. . . .. _ ...__.... _. <n.._ _....r�:;. <br />